| NPI | 1356349906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN DO1096) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN DO 1096) |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2024-12-27 |